Pai Vishwas D, Desouza Ashwin, De Menezes Jean Louis, Saklani Avanish P
Department of Surgical Oncology, Tata Memorial Centre , Mumbai, India .
J Laparoendosc Adv Surg Tech A. 2015 May;25(5):396-400. doi: 10.1089/lap.2015.0023. Epub 2015 Mar 31.
The incidence of rectal cancer in India is on the rise, and unlike in the West, predominantly younger individuals are affected. Surgery for rectal cancer has evolved over the years with the ultimate goals of sphincter preservation and better quality of life, besides oncological safety. With the routine use of magnetic resonance imaging for local staging, intersphincteric resection has become a viable alternative to abdominoperineal resection. Similarly, there is enough evidence to consider laparoscopic surgery as feasible and oncologically safe for rectal cancer. Thus laparoscopic intersphincteric resection fulfills all the objectives of modern-day rectal cancer surgery. Here we describe the technical points while performing the surgery as well as short-term results of our own series.
印度直肠癌的发病率呈上升趋势，与西方不同的是，主要是较年轻的个体受到影响。多年来，直肠癌手术不断发展，除了肿瘤学安全性外，最终目标是保留括约肌和提高生活质量。随着磁共振成像在局部分期中的常规应用，括约肌间切除术已成为腹会阴联合切除术的可行替代方案。同样，有足够的证据表明腹腔镜手术对直肠癌是可行的且在肿瘤学上是安全的。因此，腹腔镜括约肌间切除术满足了现代直肠癌手术的所有目标。在此，我们描述手术操作的技术要点以及我们自己系列病例的短期结果。
